Evidence map›Paper›PMID 36914881›Full record

ArticleSocial psychiatry and psychiatric epidemiology2023

Understanding the complexity, patterns, and correlates of alcohol and other substance use among young people seeking help for mental ill-health.

Caroline X Gao, Kate M Filia, Gillinder Bedi, Jana M Menssink, Ellie Brown, Debra J Rickwood, Alexandra G Parker, Sarah E Hetrick, Helen Herrman, Ian Hickie and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Caroline X GaoCentre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia. carolineg@unimelb.edu.au.
Kate M FiliaCentre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia.
Gillinder BediCentre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia.
Jana M MenssinkCentre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia.
Ellie BrownCentre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia.
Debra J RickwoodHeadspace, National Youth Mental Health Foundation, Melbourne, VIC, Australia.
Alexandra G ParkerInstitute for Health and Sport, Victoria University, Melbourne, VIC, Australia.
Sarah E HetrickDepartment of Psychological Medicine, University of Auckland, Auckland, New Zealand.
Helen HerrmanCentre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia.
Ian HickieBrain and Mind Centre, The University of Sydney, Camperdown, NSW, Australia.
Nic TelfordHeadspace, National Youth Mental Health Foundation, Melbourne, VIC, Australia.
Patrick D McGorryCentre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia.
Sue M CottonCentre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeUse of alcohol and other substances is a multifaceted issue impacting young people across multiple life domains. This paper aims to elucidate patterns of substance use and associated demographic and clinical factors among young people seeking treatment for their mental health.

methodsYoung people (12-25 years old) were recruited from five youth-specific primary mental health ("headspace") services in Australia. Self-reported substance use and harms in the past 3 months were measured using WHO-ASSIST. Network analyses were conducted to evaluate interrelationships between use and harms associated with different substances. Subgroups were then identified based on whether participants reported using high centrality substances, and associated demographic and clinical factors were assessed with multinomial logistic regression.

results1107 youth participated. 70% reported use of at least one substance in the past 3 months, with around 30% of those reporting related health, social, legal or financial problems. Network analysis highlighted substantial interconnections between use and harm indicators for all substances, with amphetamine-type stimulants (ATS) and cannabis being high central substances. Higher levels of substance use and harms were reported in subgroups with ATS or cannabis use and different risk factors were associated with these subgroups.

conclusionsFindings highlight the importance of screening for substance use in youth primary mental healthcare settings, offering a key opportunity for early intervention. Clinicians should be aware of the inner connections of use and harms of different drugs and the role of cannabis and amphetamine use as a marker for more substance use profiles.

Indexed as

Central Nervous System StimulantsSubstance-Related DisordersAdolescentAdultAmphetamineChildEthanolHumansMental HealthRisk FactorsYoung AdultAmphetamineCentral Nervous System StimulantsEthanolAlcohol and drug useAlcohol and substance useMental ill-healthSubstance use harmsYouth mental health

Identifiers

PMID36914881
PMCPMC10460308

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.